Ch 1 Lymph Nodes Flashcards

1
Q

___ is the fluid that travels through the lymphatic system?

A

Lymph

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2
Q

Where does lymph travel?

A

Through vessels, passing through lymph nodes along the way

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3
Q

What does the lymphatic system do?

A

-Acts as a fluid recovery system + filtering system (collects waste, bacteria + damaged cells to filter out)

-Adds lymphocytes

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4
Q

What is lymphadenopathy?

A

Abnormal size or consistency of lymph nodes due to inflammation, primary neoplasia or mets

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5
Q

What is lymphadenitis?

A

Enlarged lymph nodes due to inflammatory process (m/c maintains node shape + fatty hilum)

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6
Q

SF of malignant lymph nodes?

A

-Enlarged
-Hypoechoic
-Round
-Asymmetric cortical thickness
-Loss of fatty hilum
-Loss of nodal vascularity

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7
Q

SF of metastatic lymph nodes?

A

-Echogenic
-Heterogeneous

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8
Q

The axillary lymph nodes drain what?

A

The arm, walls of thorax, breast + upper walls of abdomen

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9
Q

List the 5 groups of axillary lymph nodes?

A

-Lateral (humeral)
-Anterior (pectoral)
-Posterior (subcapsular)
-Central
-Apical

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10
Q

The axillary lymph nodes are subdivided into 3 surgical levels relative to the pectoralis minor muscle. What are they?

A

Level 1: below lower edge of pectoralis minor
Level 2: underneath/posterior the pectoralis minor
Level 3: above/medial the pectoralis minor

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11
Q

When should we assess the axilla basin for abnormal lymph nodes?

A

After breast cancer or melanoma

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12
Q

Function of inguinal lymph nodes?

A

Major drainage pathway from the lower limbs, dorsal perineum + inferior aspect of anterior abdominal wall

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13
Q

Location of superficial + deep inguinal lymph nodes?

A

Superficial: inferior to inguinal ligament, passing through saphenous hiatus

Deep: medial to femoral vein

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14
Q

Are there more superficial or deep inguinal lymph nodes?

A

Superficial

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15
Q

What are lipomas?

A

-Benign fatty/adipose tumors surrounded by a thin connective tissue capsule
-Can arise in many parts of body
-Slow growing + ranges from 2-10cm

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16
Q

Large lipomas are susceptible to ___?

A

Internal fat necrosis

17
Q

S/S of lipomas?

A

-Painless palpable lump
-Soft + compressible

18
Q

SF of lipomas?

A

-Variable echogenicity
-No shadowing
-Minimal/no vascularity
-Can be very subtle with poorly defined borders